1101 Dental, Pllc is a Dental Clinic in Grand Forks, North Dakota. It is located at 1101 S Columbia Rd, Unit B, Grand Forks, ND and its contact number is 701-795-1101. The authorized person for 1101 Dental, Pllc is Heather Nichole Petricig
who is Owner/dentist of the clinic and their contact number is 701-795-1101. The primary license number for 1101 Dental, Pllc is 2083 (Dentist) in North Dakota. 1101 Dental, Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
1101 Dental, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
1101 Dental, Pllc
Specialization:
Dentistry
Clinic Address:
1101 S Columbia Rd, Unit B, Grand Forks, North Dakota, 58201-4055
Phone:
701-795-1101
Fax:
701-795-1102
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Heather Nichole Petricig
Position:
Owner/dentist
Contact Number:
701-795-1101
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 1101 Dental, Pllc clinic are as mentioned below.
NPI Number:
1750689030
NPI Enumeration Date:
10 Mar, 2011
NPI Last Update On:
10 Mar, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 1101 Dental, Pllc are as mentioned below.
Specialization
License Number
State
Status
Dentist
2083
North Dakota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
41566
Medicaid
North Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1101 Dental, Pllc 1101 S Columbia Rd, Unit B Grand Forks, North Dakota
Zip:
58201-4055
Phone Number:
701-795-1101
Fax Number:
701-795-1102
Patients can reach 1101 Dental, Pllc at 1101 S Columbia Rd, Unit B, Grand Forks, North Dakota or can call to book an appointment on 701-795-1101. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.